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An Oft Neglected Topic
By Chris Thorman
I wanted to give the ME-P a heads up on an article I just finished about a neglected topic in the eHR debate concerning clinical trial participation.
It’s called: Electronic Health Records and Clinical Trials: An Incentive to Integrate.
The Argument
In the article, I make the argument that clinical trials should play a bigger role in whether or not to purchase eHR software because:
- The potential profit from participating in clinical trials is so large that it dwarfs the HITECH Act incentives;
- eHRs make clinical trial participation much easier than in the past; and,
- eHR software has the potential to solve many of the problems that clinical trials face.
Editors Note: So, let’s try to spark some discussion on this oft-ignored topic. And, feel free to contact the author.
Chris Thorman
Senior Marketing Manager
Software Advice
(512) 364-0118
chris@softwareadvice.com
Conclusion
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Filed under: Information Technology, Practice Management, Research & Development | Tagged: ARRA, chris thorman, clinical trials, EHRs, EMRs, HIPAA, HITECH, Software Advice |
The Leading Business Education Network for Doctors, Financial Advisors and Health Industry Consultants 
Current EHRs Have Limited Quality, Efficiency Effect: Study
Did you know that in spite of the ever-increasing push to implement electronic health records, the link between EHR adoption and subsequent improvements in quality of care and efficiency is weak … according to a recently published study in Health Affairs.
Researchers, led by Catherine DesRoches, assistant professor at the Institute for Health Policy at Massachusetts General Hospital, Boston, examined data from more than 2,900 hospitals and found no significant relationship between EHR adoption and performance on quality measures related to myocardial infarction, congestive heart failure or pneumonia, and found only some improvement in prevention of surgical complications.
In addition, they determined EHR adoption did not significantly reduce length of patient stay, readmission rates or total inpatient costs. The availability of computerized physician order-entry systems for medication ordering and clinical decision support did, however, lead to marginally better outcomes, the study found.
Source: Maureen McKinney, Health IT Strategist [4/6/10]
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Female – default sex of anonymity
[Another Neglected Topic]
Young people who likely have never tried to locate a time-generous doctor who accepts Medicaid or Medicare, have no idea how much intrusive pressure health care providers already endure from both those who mean well and those who mean business. Nobody should assume it’s easy work. Abundant research shows that medicine can threaten the health of doctors whose passion is to heal others.
It’s indeed sad when young Americans naively threaten providers at a time when the nation faces a serious shortage of primary care physicians. While attempting to help improve the nation’s prospects for a future of adequate health care, their effects are just the opposite. Popular reasoning has been muddied by politicians, HIT vendors and other stakeholders. We rarely hear from the doctors who are affected. They are much too busy.
Naïve, societal clumsiness is understandable. However, when an institution such as the Boston Globe promotes harmful misinformation under the protection of anonymity, for all we know the author could be an ambitious Ketchum PR employee under contract to HHS Secretary Kathleen Sebelius to promote HIT even if it means using propaganda – Ketchum’s proven specialty. Whatever the reason for the protection from accountability, it looks like the Boston Globe chose to weaponize journalism. And if that’s the way Boston wants to fight, I’m your Huckleberry.
Sex is an important variable, even in anonymity. And it’s female.
I’ve found that when responding to opinions, it’s cumbersome to use “he or she” when the name and bio of the person is not provided. That is why by default, I assign them the sex of female even before I recognize such typically feminine syntax and vocabulary choices like those featured in the Boston Globe editorial today.
I figure I can’t go wrong. First of all, most PR professionals who pen editorials and press releases are women. So without having read a word, I know I have better than 50% chance of being correct on demographics alone. But appropriate pronoun usage is far less interesting than the taunting beauty of the unconventional PR strategy – empowered by the differences in the way men and women think as well as pride and other quirks of human nature. That’s not only why anonymous, authoritarian women are so vulnerable, but it is also why I turn everyone into anonymous vulnerable women.
Let me explain before the hate mail is sent: If my default sexing is correct, a female author is likely to be paralyzed by the questions “How did he know?” and “Who betrayed me?” As luck would have it, those kinds of questions seem to bother women more than men as a general rule. If on the other hand, my predetermined guess is wrong, I shouldn’t have to explain that calling a man a young female is also troublesome for an anonymous person who suddenly finds it impossible to respond “like a man.”
I like to think either one result or the other has already encouraged future transparency in editorials published by the Boston Globe.
With that introduction to my world, here’s the sporting response I posted on Twitter today:
In today’s Boston Globe editorial: “When it comes to switching from paper to electronic records, medicine trails many other professions —
“… even though study after study has shown that computerization will save not just money but lives.” One must ask where’s the author been.
See “Digitize medical records; waiting puts lives at risk” – The Boston Globe http://shar.es/m6JEY
Whoever the author is, she hates doctors. She’s probably too young to have learned to appreciate the comfort of knowledge and benevolence.
She adds “Apparently [doctors] feel little or no responsibility for symptoms that get misdiagnosed because of inadequate information…”
“…let alone the tests that get repeated because no one has a record of the previous results.” As if forcing docs to buy software fixes it.
She laments that some medical professionals “already” believe the due date for adoption is too soon. Want to bet she has Allscripts stock?
She’s pissed: “But if anything, the deadline gives medical providers too much time to put off the inevitable.” Assertive, anonymous woman.
“Under no circumstances should the administration backtrack on its threat.” She’s our authority warning kids to not grow up to be doctors.
Boston’s default career guidance counselor featured by The Boston Globe says more about her mandates for a new society than I care to say.
She concludes: “But the ultimate responsibility belongs to the doctors and hospitals who are putting their own habits…
“… ahead of the clearly demonstrated needs of their patients — and of the taxpayers who foot the cost of many medical bills.” God help us.
Proots
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